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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34726/psn-pdf
    April 19, 2011 - How house officers cope with their mistakes. April 19, 2011 Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569. https://psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes In this article, the authors report on how house officers cope with their…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35704/psn-pdf
    March 28, 2011 - Relationship between patient complaints and surgical complications. March 28, 2011 Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47925/psn-pdf
    August 21, 2019 - Second victims and mindfulness: a systematic review. August 21, 2019 S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review The secon…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41498/psn-pdf
    December 31, 2014 - Standard practices for computerized clinical decision support in community hospitals: a national survey. December 31, 2014 Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60968/psn-pdf
    September 30, 2020 - Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. September 30, 2020 Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847735/psn-pdf
    May 30, 2023 - SOPS Ambulatory Surgery Center Survey: What You Need to Know. May 30, 2023 Agency for Healthcare Policy and Research: April 27, 2023. https://psnet.ahrq.gov/issue/sops-ambulatory-surgery-center-survey-what-you-need-know Ambulatory surgery centers (ASC) experience a variety of error types that can be exacerbated by…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39450/psn-pdf
    February 17, 2011 - Malpractice reform—opportunities for leadership by health care institutions and liability insurers. February 17, 2011 Mello MM, Gallagher TH. Malpractice reform--opportunities for leadership by health care institutions and liability insurers. N Engl J Med. 2010;362(15):1353-6. doi:10.1056/NEJMp1001603. https://psn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42774/psn-pdf
    May 28, 2015 - Patient safety in plastic surgery: identifying areas for quality improvement efforts. May 28, 2015 Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10.1097/SAP.0b013e318297791e. https:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858324/psn-pdf
    December 13, 2023 - Many people of color worry good health care is tied to their appearance. December 13, 2023 DeGuzman C. KFF Health News. December 5, 2023 https://psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance Racial and ethnic bias permeates medical interactions to detract from safe and effecti…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46592/psn-pdf
    December 19, 2017 - The evolution of procedural competency in internal medicine training. December 19, 2017 Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014. https://psnet.ahrq.gov/issue/evolution-proce…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43826/psn-pdf
    June 01, 2015 - Radiation Oncology Incident Learning System. June 1, 2015 American Society for Radiation Oncology and American Association of Physicists in Medicine. https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and adverse events can provide a foundation for learning from error.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44270/psn-pdf
    July 01, 2015 - Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. July 1, 2015 Chicago, IL: Health Research & Educational Trust; June 2015. https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication- teamstepps This guide draws from the experience of organizati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38636/psn-pdf
    May 20, 2009 - Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. May 20, 2009 Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73238/psn-pdf
    May 12, 2021 - Medical Residents and Burnout May 12, 2021 Coverdale J, West CP, Roberts LW, eds. Acad Med. 2021;96(5):611-769;e14-e21. https://psnet.ahrq.gov/issue/medical-residents-and-burnout Medical training is a demanding experience that impacts a learner’s ability to provide safe care, cope, and remain healthy. This is…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44073/psn-pdf
    April 15, 2015 - Clinician support: five years of lessons learned. April 15, 2015 Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates insights from an academic health care system that developed a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72827/psn-pdf
    March 10, 2021 - Coronavirus Commission for Safety and Quality in Nursing Homes. March 10, 2021 Centers for Medicare and Medicaid Services. McLean, VA: MITRE Corporation; September 2020. https://psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes Nursing homes have been confronted with numerous …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47513/psn-pdf
    October 24, 2021 - Measurement and Monitoring of Safety Framework October 24, 2021 Healthcare Excellence Canada. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply a framework fo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48049/psn-pdf
    May 29, 2019 - How one health system overcame resistance to a surgical checklist. May 29, 2019 Hilton K, Anderson A. Harv Bus Rev. May 20, 2019. https://psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist This commentary describes how one health system worked to combat resistance to change associate…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47342/psn-pdf
    August 22, 2018 - The doctor doesn't listen to her. But the media is starting to. August 22, 2018 Fetters A. The Atlantic. August 10, 2018. https://psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high- profile accoun…

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